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Home My WebLink AboutBRN2022-00098 Cancelled - BRN Permit - 12/6/2022 f K Mason County B Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov it i i BRN2022-00098 BURN PERMIT PROJECT DESCRIPTION: ISSUED: 12/06/2022 SITE ADDRESS: 591 E GOSSER RD SHELTON EXPIRES: 01/05/2023 PARCEL: 321367600010 APPLICANT: MILLS COLTON HUNTER&JORDAN NICOLE OWNER: MILLS COLTON HUNTER&JORDAN NICOLE 591 E GOSSER RD 591 E GOSSER RD SHELTON, WA 98584 SHELTON, WA98584 1.360.280.1445 FEES: Paid Due Burn Permit Fee $175.00 $0.00 Totals : $175.00 $0.00 REQUIRED INSPECTIONS Burn Inspection CONDITIONS * Upon completion of above conditions, applicant must have inspection & approval before ignition. Call (360)427-9670, ext. 262 * *IF BURNING WITHOUT CALLING IN, THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.* * Maximum pile size is twenty(20)feet in diameter, a minimum ten (10)feet firebreak must be constructed around each pile. * Fan required. * A BURN BAN when implemented by Fire Marshal will take effect as noted and all permits become null and void. After a burn ban. has been implemented, all fires must be extinguished immediately. * On Site Water is required for permits between April 15th and Oct. 15th. A pump truck or trailer with 300 gallons of water loaded and 200 ft of hose. (The pump must be capable of pumping 20 gallons per minute through a one inch (diameter) 50 foot section of hose.) Printed by:Amber Selby on:12/06/2022 03:31 PM Page 1 of 2 t Mason County ME&MM Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov BURN PERMIT BRN2022-00098 * The following materials are prohibited and must not be burned: garbage, dead animals, asphalt, petroleum products, paints, rubber products, plastics, paper, cardboard, treated wood, construction/demolition debris, metal or any substance (other than natural vegetation)that releases toxic emissions, dense smoke, or obnoxious odors when burned. " Permit includes two (2) inspections maximum, additional inspections will require a re-inspection fee. (at current rate). * All materials must originate from the property on which the burning is to occur. • Provide EXCAVATOR/DOZER (with fire extinguisher)on site with qualified operator. " Fire must be completely extinguished within three (3)days after ignition. " Valid permit MUST be onsite while burning. If permit is not on site during burning the fire will be extinguished at your cost * The fire must not create a nuisance from smoke, obscure visibility on public roads and highways, or endanger life and property. " Access must be passable with 2 wheel drive vehicle. * Each pile must be at least one hundred (100)feet from any structure and at lease fifty (50)feet from standing timber. • APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY. * A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire watch. * Do not burn if wind is blowing more than seven (7) miles per hour. DO NOT BURN IF WIND BLOWING FROM • After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws an Ordinances7rlating ' this type of work will be complied with whether specified herein ot. a grantin odoes not presume to give authority to violate or cancel the provision f o er state/Ual construction or the performance of construction. Issued Contractor or Authorized Agent: C� % Date: Printed by:Amber Selby on:12/06/2022 03:31 PM Page 2 of 2 615 W.Alder St.Bldg 8,SHELTON,WA 98584 MASON COUNTY SHELTON:360-427-9670,EXT 352 t BELF :360- - 6 ,EXT 352 COMMUNITY SERVICES ELMAMA:360-482482-525269, EXT 352 Ruildlnq Planning,Environmental IJealth,Community Meallh wvvw.co.mason.wa.us BURN PERMIT BRN2022-00098 Issued Date 12/06/2022 Expiration Date 01/05/2023 Parcel Number 321367600010 Fire District Site Address 591 E Gosser Rd Applicant MILLS COLTON HUNTER&JORDAN NICOLE CANCELLED 1.360.280.1445 Contractor License Number Contractor Phone Expiration Date 1.Valid permit MUST be onsite while burning.If permit is not on site during burning the fire will be extinguished at your cost. 2.The following materials are prohibited and must not be burned:garbage, dead animals, asphalt, petroleum products, paints, rubber products, plastics, paper, cardboard,treated wood, construction/demolition debris, metal or any substance (other than natural vegetation)that releases toxic emissions,dense smoke, or obnoxious odors when burned. 3.All materials must originate from the property on which the burning is to occur. 4.The fire must not create a nuisance from smoke, obscure visibility on public roads and highways,or endanger life and property. 5. Maximum pile size is twenty(20)feet in diameter, a minimum ten(10)feet firebreak must be constructed around each pile. 6. Each pile must be at least one hundred (100)feet from any structure and at lease fifty(50)feet from standing timber. 7. Do not burn if wind is blowing more than seven (7)miles per hour. DO NOT BURN IF WIND BLOWING FROM 8.A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire watch. 9. On Site Water is required for permits between April 15th and Oct. 15th.A pump truck or trailer with 300 gallons of water loaded and 200 ft of hose. (The pump must be capable of pumping 20 gallons per minute through a one inch (diameter)50 foot section of hose.) 10. Provide EXCAVATOR/DOZER(with fire extinguisher)on site with qualified operator. 11. Fire must be completely extinguished within three(3)days after ignition 12. Fan required. 13. Upon completion of above conditions,applicant must have inspection&approval before ignition. Call (360)427-9670, ext. 352 14.APPLICANT'S MUST CALL 360.426.4441, EACH DAY TO REPORT BURNING ACTIVITY. 15.APPLICANTS MUST CALL 360.539.7610(ORCCA) EACH DAY TO REPORT/REQUEST ANY AIR QUALITY ISSUES ASSOCIATED WITH BURNING. 16. IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENSION OF PERMIT. 17.After the burn is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. 18. It is advisable to pump the entire content of the water tank onto the burn site to assure the fire is completely extinguished. The permitted individual is responsible for any rekindling on the fire/burn site. 19.A BURN BAN when implemented by Fire Marshal will take effect as noted and all permits become null and void.After a burn ban has been implemented, all fires must be extinguished immediately. 20. Permit includes two(2)inspections maximum, additional inspections will require a re-inspection fee. (at current rate) 21.Access must be passable with 2 wheel drive vehicle Official Use Only Inspector: Sketch of Site/Comments: Date: EXPIRATION DATE: Permit#: BRN 02( d2 )_-- bn(-)�R ON COUNTY BURN PERMIT APPLICATION CANCELLETE,AT' 615 W Alder St• Shelton,WA 98584 �9G I Vr�ejON 360.427.9670 x352•BELFAIR 360.275.4467 x352 •ELMA 360.482. x APPLICANT/OWNER INFORMATION: CONTRACTOR INFORMATION: Owner�� Mi Iltj Owner 615 W. A et Alder Stre Mailing Address Sq i A &ebstr Mailing Address City okliha State vA Zip q�,8y City State Zip Phone 31Gb•Leo-1 qjS Cell Phone Phone Other Phone Lien/Title Holder Contractor Reg.# Exp. / / E-mail address E-mail address Drivers Lic.# L t D.O.B. 7 Drivers Lic.# D.O.B. TAX PARCEL NUMBER , � —:7 a "• Q Q() I r) (12 digit number) Fire District SITE ADDRESS(please include street name,number&city) 541 E. GoSSe,r R d 6tel4bvt &JA 4 858 N Directions(to the site) rL ran _Tsbrn N-PSI 3 owl 4',k at,+ evt-fe Crasxir ;r44I.0 roe th+ en;le' kswx *in 11.11 *in le.�•f- BURNING IS AUTHORIZED SUBJECT TO THE FOLLOWING CONDITIONS: • Valid permit MUST be onsite while burning. If permit is not on site during burning the fire will be extinnished at M cost. • The following materials are prohibited and must not be burned: garbage, dead animals, asphalt, petroleum products, paints, rubber products, plastics, paper, cardboard, treated wood, construction/demolition debris, metal or any substance (other than natural vegetation)that releases toxic emissions,dense smoke,or obnoxious odors when burned. • All materials must originate from the property on which the burning is to occur. • The fire must not create a nuisance from smoke,obscure visibility on public roads and highways,or endanger life and property. • Maximum pile size is twenty(20)feet in diameter,a minimum ten(10)feet firebreak must be constructed around each pile. • Each pile must be at least one hundred(100)feet from any structure and at lease fifty(50)feet from standing timber. • Do not burn if wind is blowing more than seven(7)miles per hour.DO NOT BURN IF WIND BLOWING FROM • A responsible adult and equipment shall be on site and in attendance at the fire while burning.Must provide 24 hour fire watch. • On Site Water is required for permits between Aril 15'h and Oct. 151'A pump truck or trailer with 300 gallons of water loaded and 200 ft of hose.(The pump must be capable of pumping 20 gallons per minute through a one inch(diameter)50 foot section of hose.) • Provide EXCAVATOR/DOZER(with fire extinguisher)on site with uaa lifted operator. • Fire must be completely extinguished within three(3)days after ignition. • Fan required. • Upon completion of above conditions,applicant must have inspection&approval before ignition.Call (360)427-9670,ext.262 • APPLICANT'S MUST CALL 360.426.4441 EACH DAY TO REPORT BURNING ACTIVITY. • APPLICANTS MUST CALL 360.539.7610(ORCCA) EACH DAY TO REPORT/REQUEST ANY AIR QUALITY ISSUES ASSOCIATED WITH BURNING. ************IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED_ AT OWNERS EXPENSE AND POSSIBLE SUSPENTION OF PERMIT.*************** • After the bum is complete make sure the fire has not burned into the earth by checking the fire location for hot spots. • It is advisable to pump the entire content of the water tank onto the burn site to assure the fire is completely extinguished. The permitted individual is responsible for any rekindling on the fire/bum site. • A BURN BAN when implemented by Fire Marshal will take effect as noted and all permits become null and void.After a burn ban has been implemented,all fires must be extinguished immediately. • Permit includes two(2)inspections maximum,additional inspections will require a re-inspection fee. (at current rate) • Access must be passable with 2 wheel drive vehicle Date Received. Application continued, please go to next page c .Rev Aor 19.2017 Burn Permit# PARCEL AND SITE INFORMATION; Parcel within 200'of: Saltwater❑ Lake❑ River/Creek/Stream W Pond❑ Wetlands❑ Seasonal Runoff❑ Yes/None Slopes or Bluffs> 15% Yes No Will timber be cut and sold in parcel preparation? Yes/ Does Site require FPA or 6 yr.Moratorium: Yes/No Is site being converted or replanted:Yes o Is site located in an Urban Growth Area(UGA)?:Yes/No/ nknown [Burning is currently NOT allowed inside UGAJ Zoning: f Summarize proposed land clearing items to be burned: H&d ma96-6 wi4i% trod'{' ey' ToJI&A , b�arn;rtk_ ogle SITE PLAN (to be verified and approved by Planner) In the space provided below,please draw a top-view site plan of the parcel and notate locations of the following items with distances to/from"Burn Pile": o Burn Pile and Feeder Piles o Any existing buildings/structures (ie: Residence, Garage, Storage shed, Driveway,etc.) o Existing standing timber o Any"Critical Areas" such as Steep Slopes, Lake, River/Creek, Wetlands, Seasonal Runoff, Streams, etc ------------- ---- ------------------------- --------- --------------------- --- i -ILA / r'- 0 7 vo a r- J � 1 k< <� �y c r L 1 Y(,..� —ITC 4 I w�tr ko� OWNER/CONTRACTOR:Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.The owner represents that the information provided is accurate and grants employees of Mason County&local fire authorities access to the above described property and structure for review and inspection.The person in charge of the fire will be liable for the cost of suppression if the fire gets out of control or if becomes necessary to extinguish the fire as the result of an enforcement action. x c z� 'gj '�.�;1e SIGNATURE— MUST BE SIGNED BY PROPERTY OWNER Date Signed FOR OFFICIAL USE ONLY: PLANNING DEPT REVIEW: Approved by &date: Denied by & date: y iJ q l'�i T 615�.Aider St. Mdg 50 SHELTON,WA 9835 4 MASON SHELT 'N:360-427-9670, EXT 152 BE!FAIR:360-275-4457, EXT 352 COMMUNITYI ELF A:360-462-5269, EXT 352 rdt' kar Fng, .ru`ac;asn �ks9-i s lif.�aremazo4fy#9t www.CU;maso.n,wa.u5. r 3 ,J BURN PERMIT BRN2022-0009 Issued Coate 121O6f2022 Expiration Bate 01/0512023 Parcel Number 321367600010 Fire District Site Address 591 E Gosser Rd Applicant MILLS COLTON HUNTER&JORDAN NICOLE 1.360.2830,1445 Contractor License Number Contractor Exoiration Gate Phone ",.Valid permit MUST be onsite while burning. If permit is not or.site during burning the fare will be extinguished at your cast. 2,.The following materials are prohibited and trust not be burned garbage,dead animals, asphalt,petroleum products., prints, rubber products,plastics,paper,cardboard,treated wood,constr.action1clemolition debris, metal or any substance (other than natural vegetation)that releases toxic emissions,dense smoke, or obnoxious odors when burned. 3.All materials must originate from the property on which the burning is to occur. 4.The fire must net create a nuisance from smoke,obscure visibility on public roads and highways, or endanger life and property. 5.Maximum pile size is twenty(20)feet in diameter,a minimum ten(1 g)feet firebreak must be constructed around each pile. 6. Each pale must be at least one hundred(100)feet from any structure and at lease fifty(50)feet from standing timber. 7. Do not burn if wind is blowing more than seven (7)chiles per hour. DO NOT BURN IF WIND BLOWING FROM 8.A responsible adult and equipment shall be on site and in attendance at the fire while burning. Must provide 24 hour fire watch. 9.On Site Water is required for permits between April 15th and Oct. 15th.A pump truck or trailer with 300 gallons of water loaded and 200 ft of hose. (The pump must be Mapabie of pumping 26 gallons per minute through a one inch(diameter)50 foot sedan of hose.) 10. Provide EXCAVATOR/DOZER(with fire extinguisher)on site with qualified operator. 11. Fire must be completely extinguished within three(3)days after ignition 12. Fan required. 13. Upon completion of above conditions,applicant must have inspection &approval before ignition. Call (360)427-9670, ext. 352 14.APPLICANT'S MUST CALL 360.426.4441, EACH DAY TO REPORT BURNING ACTIVITY. TIVITY. 1S.APPLICANTS MUST CALL 360.539.7610(ORCCA)EACH DAY TO REPORTIREQUEST ANY AIR QUALITY ISSUES ASSOCIATED WITH BURNING. 16.IF BURNING WITHOUT CALLING IN,THE FIRE WILL BE EXTINGUISHED AT OWNERS EXPENSE AND POSSIBLE SUSPENSION OF PERMIT. 17,After the burn is complete make sure the fire has not bunted into the earth by checking the fire location for hat spots. 18. It is advisable to pump the entire content of the water tank onto the burn site to assure:he fire is completely axtinguished. The permitted Individual is responsible for any reki'nding on the fire-/burn site. 19.A BURN BAN when implemented by Fire Marshai will take effect as noted and all permits become mull and void.After a burn barn has been implemented, all fires must be extinguished immediately. 20. Permit includes two (2)inspections maximum, additional inspections'Mil require a re-inspection fee. (at current rate) 21.Access must be passable with 2 wheel drive vehicle Official Use Only Inspector: Sketch of Si3er Comments: Date;